Benedict Vanderkolk, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901010265 Issued in MI

Practice address

1000 S Old Woodward Ave
Suite 106
Birmingham, MI 48009-6723

Phone

(248) 645-1060

Fax

(248) 833-0126

NPI assigned

Feb 27, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WDW Birmingham PLLC

  dba Whole Dental Wellness

  • General Practice Dentistry
  • Birmingham, MI
  • NPI 1063008894
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1720257421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE",
            "address_2": "SUITE 106",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096723",
            "telephone_number": "248-645-1060",
            "fax_number": "248-833-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE",
            "address_2": "SUITE 106",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096723",
            "telephone_number": "248-645-1060",
            "fax_number": "248-833-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKOLK",
        "first_name": "BENEDICT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901010265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uptown Dermatologists of Birmingham, PLLC
• Tracy Vaden
• Algirdas Vaitas, D.M.D.
• Aldona M. Valivonis, PH.D.
• Aubrey Valleau, LCSW
• David J Vanker, D.D.S.
• Laura Vanloon, D.C.
• Michele Valerie Varady
• Variety Far Conservatory
• William James Vasileff, MD

• Dentist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.